Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $38.90 / $104.30	Facility		$17.73	$38.90	$104.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.86 / $12.67 / $105.77	Professional		$10.86	$12.67	$105.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $30.03 / $37.54	Professional		$19.00	$30.03	$37.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $28.79 / $156.66	Professional		$16.45	$28.79	$156.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.45 / $27.60 / $80.02	Facility		$16.45	$27.60	$80.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $16.94 / $45.40	Professional		$9.86	$16.94	$45.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $33.50 / $51.57	Facility		$20.14	$33.50	$51.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $33.50 / $47.15	Professional		$19.73	$33.50	$47.15
United Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $13.43 / $39.85	Professional		$9.86	$13.43	$39.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $16.45 / $16.45	Professional		$13.00	$16.45	$16.45